Organization
MICHAELIAN ENDODONTIC DENTAL GROUP INC
Active
Other names
Bay Area Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL J MICHAELIAN D.M.D (OWNER/PRESIDENT)
(650) 994-2710
Entity
Organization
Contact information
Practice address
341 GELLERT BLVD STE C, DALY CITY, CA 94015-2616
(650) 994-2710
Mailing address
341 GELLERT BLVD STE C, DALY CITY, CA 94015-2616
(650) 994-2710
(650) 994-5313
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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